Active NPI
Kuzma Kovzun
- Psychiatry Physician
- Roseville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 20A21889
- Practice address
- 8775 Sierra College Blvd Ste 200
Roseville, CA 95661-5985 - Phone
- (448) 678-4448
- NPI assigned
- Apr 1, 2016
- Last updated
- Sep 13, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | DOS1846 | HI | |
| Psychiatry Physician | 2084P0800X | 20A21889 | CA | Primary |
Addresses
Primary practice location
8775 Sierra College Blvd Ste 200
Roseville, CA 95661-5985
Mailing address
8775 Sierra College Blvd Ste 200
Roseville, CA 95661-5985
Phone (844) 867-8444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8775 Sierra College Blvd
Suite 200
Roseville, CA 95661-5985
Phone (916) 294-7062
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOS1846 | HI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Health Solutions a Professional Medical Corporation | Psychiatry | Current | Accepting new patients |
Locations
1020 Suncast Ln
Ste 108
El Dorado Hills, CA 95762
Phone (916) 932-0380
3300 Webster St
Ste 803
Oakland, CA 94609
1731 E Roseville Pkwy
Ste 290
Roseville, CA 95661
Phone (916) 262-9002
8775 Sierra College Blvd
Ste 200
Roseville, CA 95661
Phone (916) 294-7062
360 Post St
Ste 500
San Francisco, CA 94108
Phone (415) 213-2540
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba TMS Health Solutions
- Psychiatry Physician
- San Francisco, CA
- NPI 1881894483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1235592718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8775 SIERRA COLLEGE BLVD STE 200",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956615985",
"telephone_number": "844-867-8444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8775 SIERRA COLLEGE BLVD STE 200",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956615985",
"telephone_number": "448-678-4448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVZUN",
"first_name": "KUZMA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-01",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "HI",
"license": "DOS1846",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "20A21889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.